by Axios | 10.30.18
States are increasingly using their Medicaid programs to focus on addressing social determinants of health, like access to housing and food, as a way to make health care more comprehensive and cost-effective.
The big picture: These state Medicaid efforts are part of a growing recognition that improving overall population health — and health equity — will have to include interventions beyond the traditional health care system.
Growing awareness of the connection between social factors and health has coincided with the Affordable Care Act's Medicaid expansion, and an increased focus on making sure health insurance is effective.
States are taking different approaches to addressing these factors, and are doing so through waivers, optional Medicaid authorities and their contracts with managed care organizations.
How it works, per a Kaiser Family Foundation brief:
Where it stands: While the Obama administration was very supportive of these efforts, the Trump administration is devoting more attention to other parts of its agenda, like Medicaid work requirements. But states are still active, and the Trump administration is approving state proposals along these lines.
Illustration: Sarah Grillo/Axios
Written by Axios
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